GEORGIA CVS PHARMACY L.L.C. NPI 1356445274

NPI Information

NPI: 1356445274
Provider Name: GEORGIA CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY #02107

Classification: Pharmacy - 333600000X
Entity Type: Organization

Address:
3051 SANDY PLAINS RD
MARIETTA, GA
ZIP 30066
Phone: (770) 977-7661
Get Directions

GEORGIA CVS PHARMACY, L.L.C. is a pharmacy in Marietta, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GEORGIA CVS PHARMACY, L.L.C. NPI is 1356445274. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #02107.

The provider's business location address is:

3051 SANDY PLAINS RD
MARIETTA, GA
ZIP 30066-721
Phone: (770) 977-7661

The provider's authorized official is Susan Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 770-2751.

The CLIA number assigned to this NPI record is 11D2281537 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 3/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies			GEORGIA	No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
3	333600000X	Pharmacy		008015	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	202G738984	MEDICARE PIN
2	1142900	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
3	000716229A	MEDICAID	GEORGIA
4	5754010064	MEDICARE NSC	GEORGIA
5	P00962782	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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